Organization
PHYSICAL THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ISABEL PERNET (PRESIDENT)
(305) 338-2689
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST STE 127, MIAMI LAKES, FL 33014-2442
(305) 827-0208
(305) 827-0280
Mailing address
5881 NW 151ST ST STE 127, MIAMI LAKES, FL 33014-2442
(305) 827-0208
(305) 827-0280
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT17664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FH315A
MEDICARE PROVIDER NUMBER
FL
Enumeration date
10/25/2011
Last updated
10/25/2011
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